Get Il Il444-4765 2014-2026

This guide provides clear instructions for filling out the IL IL444-4765 Redetermination Application online. By following these steps, users can ensure they complete the form accurately to maintain their benefits.

Follow the steps to fill out the IL IL444-4765 online.

1. Click the ‘Get Form’ button to access the IL IL444-4765 and open it in your online editor.
2. In the first section, list all individuals living with you, including yourself. Provide each person's full name, birth date, relationship to you, and whether they eat with you.
3. If you have a Health Care and Family Services (HFS) Medical Card, indicate any changes to your health insurance by selecting 'Yes' or 'No'.
4. Answer whether anyone in your household receives payment for work. If they do, provide their name and attach the necessary pay stubs, or document income for self-employed individuals.
5. Confirm if anyone started a new job or if any jobs ended. If applicable, complete that section by detailing the person's pay rate, hours worked, and pay schedule.
6. Indicate any additional income received by your household in the last 30 days, such as Child Support or Social Security. Fill out the relevant details.
7. State whether you expect any changes to income or employment, and describe what changes you anticipate and when.
8. If you've moved or changed your address, provide your new address.
9. Detail your housing payments, including rent or mortgage, and any taxes or homeowner's insurance paid separately.
10. Indicate whether you've received energy assistance payments and describe any utility payments, if applicable.
11. Provide details about child support payments and indicate who helps with utility payments.
12. If you pay for someone to care for a child or disabled adult while you work, fill in the necessary details regarding that arrangement.
13. Confirm if any person aged 18 or over is attending school half-time or more. Specify their name.
14. State if anyone in your household aged 60 or older or disabled has qualifying monthly medical expenses.
15. Indicate whether anyone receiving cash assistance has a felony drug conviction.
16. Sign the form, providing your signature and daytime or cell phone number along with the date.
17. After completing the form, save your changes, and choose to download, print, or share the form as needed.

Complete your IL IL444-4765 online today to ensure you maintain your benefits.